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Mindfulness Scripts - Drinking, Eating, Breathing, and Body Scan - Russ Harris - ACT MAde Simple Extra Bits - CH 17
Mindfulness Scripts - Drinking, Eating, Breathing, and Body Scan - Russ Harris - ACT MAde Simple Extra Bits - CH 17
This document contains basic scripts for 4 formal mindfulness exercises: mindful
drinking, mindful breathing, mindful eating, and a mindful body scan.
Here are some general tips for all exercises:
1. Don’t stick to the script. Improvise, modify, adapt. If you read it aloud exactly as
written it will sound odd and stilted. Change the language to suit your unique way
of speaking and the clients you work with. Change the pacing and pausing as
needs be.
2. If doing this one-on-one with a client, a) keep your eyes open so you can keep
track of the client’s reactions, and b) keep checking in with the client, asking how
it is going, ensuring they are willing to continue, and stopping or modifying the
exercise to deal with any problems. Ideally, if working one-on-one, these exercises
include an ongoing dialogue between client and therapist.
3. Before starting these exercises, make sure the client understands the purpose.
What skill(s) will the client develop from this practice? How will that skill help with
the issues that brought her to therapy? How will that skill help her achieve her
therapy goals?
4. Always offer a choice of eyes open or eyes closed. However if clients are
dissociative, drowsy, prone to flashbacks, encourage eyes open.
5. These aren’t relaxation techniques, so don’t make your voice sound all soft and
dreamy; keep it calm and vary your volume and pitch and pacing to help clients
stay awake rather than put them to sleep.
In the exercises that follow, the main emphasis is on contacting the present moment:
focusing attention; noticing when attention wanders and refocusing; paying attention
with curiosity; broadening or narrowing focus of attention.
However, we can also emphasise the other three mindfulness processes of ACT by
adding instructions as follows:
Defusion
Let your mind chatter away like a radio playing in the background; don’t try to silence
the radio, you’ll only make it louder. Don’t try to ignore the radio, it’ll only bother you
more. Just let the radio paly on in the background, and keep your attention on the
task
Let your thoughts come and stay and go like cars driving past outside your house
Notice what your mind tells you
Notice how your mind hooks you
Notice what stories hook you and pull you out of the exercise
Acceptance
Allow your feelings to be as they are; don’t try to change or control them
Let them come and stay and go in their own good time
If a difficult feeling is present, silently name it “Here’s a feeling of boredom” or “I’m
noticing impatience” and let it be
Self-as-context
And take a moment to acknowledge, there’s a part of you that’s doing all this noticing
As you notice X, be aware you’re noticing
There is X, and there’s a part of you noticing
I invite you to sit with your feet flat on the floor and your back straight, and either fix on a spot
or close your eyes. And bring your attention to your breathing and observe it as if you’re a
curious child who has never encountered breathing before. (pause)
Notice the air as it comes in through your nostrils ... and goes down to the bottom of your lungs
(pause)
And notice it as it flows back out again (pause )
Notice the air moving in and out of your nostrils … how it’s slightly warmer as it comes out ...
and slightly cooler as it goes in . (pause)
Notice the subtle rise and fall of your shoulders (pause)
And the gentle rise and fall of your rib cage (pause)
And the rise & fall of your abdomen (pause)
Fix your attention on one of these areas, whichever you prefer: on the breath moving in and
out of the nostrils, on the rising & falling of the ribcage, or the shoulders or the abdomen
(pause)
Keep your attention on this spot, noticing the movement - in and out – as the breath comes and
goes (pause 10-20 seconds)
Whatever feelings, urges or sensations arise, whether pleasant or unpleasant, gently
acknowledge them - as if nodding your head at people passing by you on the street. (pause)
Gently acknowledge their presence, and let them come and stay and go in their own good time.
(pause)
And keep your attention on the breath, observing it with curiosity. (pause 10-20 seconds)
Whatever thoughts, images, or memories arise, whether comfortable or uncomfortable, simply
acknowledge them and allow them to be...
Let them come & go as they please, and keep your attention on the breath. (pause 10-20
seconds)
Throughout this exercise, all sorts of thoughts and feelings will arise. Let them come and stay
and go in their own good ti,e, and keep your attention on the exercise. If you realise that
your attention has wondered, briefly note what distracted you, then bring your attention
back to the raisin
Take hold of the raisin.
First look at it as if you’re a curious scientist who has never seen such a thing before. Notice
the shape, the colour, the different shades of colour, the parts where light bounces off the
surface, the contours, the pit where the stalk was attached.
Notice the weight of it in your hand and the feel of the skin against your fingers: its texture
and temperature.
Raise it to your nose and smell it. Notice the aroma.
Raise it to your mouth and pause for a moment before biting into it. Bring your attention to
what is happening inside your mouth: notice the salivation around your tongue and the urge
to bite into it.
Now slowly bite it in half, noticing your teeth breaking through the skin and sinking into the
flesh and the sound that makes, and the sensation of sweetness on your tongue.
Notice your teeth meeting, and the feel of the raisin falling onto your tongue, and the urge
to chew it and swallow it.
Chew it slowly, noticing the taste and texture. Notice the movement of your jaws, the sound
that chewing makes, the sensation of the flesh breaking down. Notice how your tongue
shapes the food.
Notice your urge to swallow – and as you do swallow, notice the movement in your throat,
and the sound it makes.
And after you’ve swallowed, pause and notice the way the taste gradually disappears from
your tongue.
Notice your growing urge to eat the remaining half.
Now eat the rest of the raisin in the same way.
We can easily turn PMR from a relaxation technique into a mindfulness exercise. If you like, you can call
it PMM – progressive muscle mindfulness. We do this by a) removing the word ‘relax’, b) removing any
attempt to induce feelings of relaxation, and c) being explicit that the aim is to develop mindfulness
skills, not to feel relaxed.
And then we liberally add in the words ‘notice’ or ‘aware’ or ‘attention’ instead of ‘relax’
The great thing about PMM is you can easily extend it to a formal 20-min mindfulness-training exercise.
(Or do a 10-min version, focused on just the top half or bottom half of the body.)
Because it is a more active process than a traditional mindful body scan (because it involves actively
tensing and releasing the muscles while also actively noticing the sensations), many people find it easier
to sustain focus and interest in the exercise than they do with a traditional ‘still’ body scan.
You can of course add in additional instructions to enhance the mindfulness skills of defusion,
acceptance, self-as-context. For example, to emphasise acceptance, you could say: If you encounter
some discomfort in your muscles, see if you can look at it with openness and curiosity … breathe into it …
make room for it …
And of course you don’t have to do extended PMM exercises; you can just focus in on any muscle or
muscle group, and do ultra-brief work.
For example, if a client feels tight or tense in the neck, you might ask him to focus mindfully on that one
area. Experiment with noticing the various sensations there, breathing into it, stretching/tensing
up/letting go/moving the muscle(s), laying a hand gently on top of them, etc.